Active NPI
Cutchogue Barths Pharmacy Inc
- Pharmacy
- Cutchogue, NY
National Provider Identifier
1154666444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CUTCHOGUE BARTHS PHARMACY INC
- Doing business as
- Cutchogue Barths Pharmacy
- Practice address
- 28195 Main Road
Cutchogue, NY 11935 - Phone
- (631) 734-6796
- Fax
- (631) 734-2382
- NPI assigned
- Nov 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Louis Vincent Cassara
- Title
- President/Owner
- Phone
- (631) 734-6796
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 031625 | NY | |
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
28195 Main Road
Cutchogue, NY 11935
Mailing address
73 Jagger Lane
Westhampton, NY 11977
Phone (631) 902-1865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2139538 | Other | PK |
Other names 1
- Cutchogue Barths Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180803000154 | NY | Part B Supplier - Pharmacy | 3072861228 | Practice locations: Cutchogue, NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533081600000",
"number": "1154666444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 JAGGER LANE",
"city": "WESTHAMPTON",
"state": "NY",
"postal_code": "11977",
"telephone_number": "631-902-1865",
"fax_number": "631-998-3642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28195 MAIN ROAD",
"city": "CUTCHOGUE",
"state": "NY",
"postal_code": "11935",
"telephone_number": "631-734-6796",
"fax_number": "631-734-2382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUTCHOGUE BARTHS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-28",
"last_updated": "2018-08-01",
"status": "A",
"authorized_official_last_name": "CASSARA",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "VINCENT",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "631-734-6796",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "031625",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2139538",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cutchogue Barths Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cutchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.